James Trussell, a long-standing editor and contributor to Contraceptive Technology, died on December 26, 2018, after a brief illness.
So what exactly is the expert consensus on how long someone can use an IUD? There are two branches to that question. First, when is it appropriate to place an IUD when a patient wants only short-term contraception? And second, how effective is the IUD beyond the time period listed in the labeling? Regarding the first question, experts are advising that clinicians reframe the concept of ‘early’ removal. Understandably, clinicians are mindful of the high up-front cost of IUDs borne by their patients. And they have been educated to focus on contraceptive method continuation rates, which can reflect patients’ satisfaction or dissatisfaction with their methods. But that focus on continuation rates, along with the name “long-acting” reversible contraception, can dissuade clinicians and patients from using an IUD for a only a short time, such as 9 months rather than for the several year limit listed in the labeling. According to Contraceptive Technology editor and author Patty Cason, while IUDs have limits duration of use, there is no limit on a minimal time for use.
Patients with underlying chronic medical conditions can present a challenge for their providers. While the U.S. Medical Eligibility Criteria covers 60 medical conditions, some of those conditions fall in that gray zone requiring the weighing the advantages and disadvantages of a using contraceptive method. Yet other chronic medical conditions are not even listed in the U.S. MEC. So what is a reasonable strategy for dealing with decisions about using a contraceptive method when a patient has one of the conditions not covered? Co-authors Rebecca Allen and Carrie Cwiak take a clinical problem-solving approach to determining a contraceptive fit for patients with chronic health issues in their new chapter on Contraception for Women with Medical Conditions in the just-published edition of Contraceptive Technology.
Now available in a new 21st edition, this well-known text with more than 2 million copies in print has been the leading family planning resource... Read more
The Contraceptive Technology conferences will help you synthesize the data and translate the evidence into clinical “pearls” you can put directly into practice. With an array of Preconferences delving into selected specialty areas of interest, plenary sessions focusing on the “hottest” topics, a thought-provoking luncheon presentation, and 30 dynamic, interactive Concurrent Sessions, including hands-on workshops…this conference is certain to improve your clinical practice and expand your network of colleagues. Read more